Individual
DR. PHILLIP SUNIL DEVADAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
HACKENSACK UNIVERSITY MEDICAL CENTER, 30 PROSPECT AVE, HACKENSACK, NJ 07601
(551) 996-3182
Mailing address
5 TRAIL W, KINNELON, NJ 07405-2880
(973) 626-5843
(973) 831-5342
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
MA72068
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
203BP02004
TAXONOMY
NJ
Enumeration date
01/25/2007
Last updated
06/20/2022
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